经尿道等离子双极电切术治疗高危前列腺增生(1)
经尿道等离子双极电切术治疗高危前列腺增生,等离子双极电切手术
【摘要】 目的 探讨经尿道等离子双极电切术(PKRP)治疗高危前列腺增生(BPH)患者的安全性和疗效。方法 采用PKRP治疗高危BPH患者120例，随访3~12个月。结果 手术时间40~200 min,平均90 min,无TURS发生。术后排尿功能恢复良好，围手术期无患者死亡。IPSS评分由术前的23.5分下降到术后的7.5分。QOL评分由术前的5.1分下降到术后的2.2分。结论 应用经尿道等离子双极电切术治疗高危BPH安全性高，见效快。采用个性化治疗方案，加强术前调整，做好术后处理是保证围手术期安全的关键。【关键词】 高危； 前列腺增生； 等离子双极电切手术
Transurethral plasmakinetic resection of prostate for the treatment of the aged BPH patients at high risk QIAO Jian-guo. The 2nd Peoples Hospital of Datong, Datong 037005, China
【 Abstract 】 Objective To assess the safety and efficacy of transurethral plasmakinetic resection of prostate (PKRP) in treating symptomatic benign prostatic hyperplasia (BPH), in the aged patients at high risk.Methods The treatment of 120 cases of patients with high-risk BPH follow-up of 3-12 months.Results Operation time 40-200 min, an average of 90 min, no TURS happened after the function recovery micturition. Good, perioperative no patients died. IPSS score of 23.5 points by preoperative down to postoperative 7.5. QOL score of 5.1 points by preoperative down to postoperative 2.2.Conclusion Application transurethral plasmakinetic resection of prostate (PKRP) with high-risk BPH high safety, quick effect. The individual treatment, strengthen the preoperative adjustment, completes the postoperative treatment is to guarantee the safety of perioperative key. ......
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